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目的:分析宜兴市1989-2008年狂犬病流行情况和影响因素,探讨防控对策。方法:对宜兴市1989-2008年狂犬病个案调查表、疫情报告表进行统计描述。结果:宜兴市1989-2008年共发生狂犬病20例,年均发病率为0.09/10万,男女性别比为2.33∶1,全市20个乡镇中有12个乡镇发生病例,宜南山区呈聚集性态势,发病以儿童和农民为主,90%的暴露者未规范接种疫苗,80%的暴露者伤口未作任何处理。结论:农村散养犬较多,犬咬伤后没有采取科学的预防措施是导致狂犬病频发的主要原因,应加大农村健康教育力度,进一步做好宣传培训狂犬病防治知识及散养犬的管理,让暴露者及时得到有效的免疫保护。
Objective: To analyze the prevalence and influencing factors of rabies in Yixing from 1989 to 2008, and to discuss the prevention and control measures. Methods: The case history of rabies in Yixing from 1989 to 2008 and the epidemic report form were described statistically. Results: There were 20 rabies cases in Yixing City from 1989 to 2008, with an average annual incidence of 0.09 / 100 000 and a sex ratio of 2.33:1. There were 12 townships and towns in 20 townships in the city, Situation, the incidence of children and peasants mainly, 90% of the exposed persons did not regulate vaccination, 80% of the exposed wounds without any treatment. Conclusion: There are more scattered dogs in rural areas and no scientific preventive measures after dog bites are the main reasons leading to the frequent rabies. We should increase rural health education and do a good job in publicity and training on the prevention and treatment of rabies and the management of loose dogs , So that the exposed to timely and effective immune protection.